Michael Stephen Vernon, MD

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

28362 Issued in NC

Practice address

15110 John J Delaney Dr
Suite 200
Charlotte, NC 28277-3545

Phone

(704) 302-8100

Fax

(704) 302-8101

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Senior Health Connection

  • Geriatric Medicine (Family Medicine) Physician
  • Charlotte, NC
  • NPI 1578597555
  NPD (past)
• Union Family Practice

  • Family Medicine Physician
  • Monroe, NC
  • NPI 1073540365
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301529600000",
    "number": "1902813223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60063",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600063",
            "telephone_number": "704-302-8100",
            "fax_number": "704-302-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15110 JOHN J DELANEY DR",
            "address_2": "SUITE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773545",
            "telephone_number": "704-302-8100",
            "fax_number": "704-302-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNON",
        "first_name": "MICHAEL",
        "middle_name": "STEPHEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2011-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NC",
            "license": "28362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8985031",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fred Donald Vermeulen, MD
• Riley Marie Vermillion, PT
• Ryan Vermillion
• Vernal Osborne
• Michelle Storey Verni, OTR/L
• Charles Durant Veronee, MD
• Nyshelle Verra
• William Edward Verross, MD
• Vertical Rising
• Vertical Risings LLC (Vertical Risings)

• Geriatric Medicine (Family Medicine) Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Geriatric Medicine (Family Medicine) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.